Primary and metastatic cancer to the bones may be evident on chest radiographs. Boney lesions may be sclerotic or lytic and can give clues as to the etiology. Common malignancies giving rise to sclerotic metastasis are prostate cancer, breast cancer, and lymphoma, while common malignancies giving rise to lytic metastasis are renal cell cancer, multiple myeloma, and thyroid cancer. The image shown is from a chest radiograph and reveals a permeative mixed lytic and sclerotic process in the left clavicle (arrow) secondary to malignant lymphoma.
// A diagnosis of stomach cancer profoundly changes oncologist//
I was jogging one day while on a business trip in LA and collapsed during the run. Within hours, I was at the hospital at UCLA Medical Center on a gurney headed for a CT scan of my abdominal cavity. I remember telling the ER physicians that I was a doctor and recommending my own course of action. As my advice to the ER doctors went largely ignored, I realized, at that moment, that being a doctor myself really didn’t matter. I wasn’t a doctor anymore. I was a patient. That was almost a year ago. At the time, I recalled that The Archives of Internal Medicine had published a much-discussed study that revealed doctors might recommend different treatments for their patients than they would for themselves. They were far more likely to prescribe for patients a potentially life-saving treatment with severe side effects than they were to pick that treatment for themselves. Yes, doctors were much more willing to risk their patients’ lives than their own; they were much more willing to gamble with their patients’ lives than their own. Understandably, people are worried that these findings mean doctors know something they’re not telling their patients. But my own experience with illness taught me a simpler truth: when it comes to their own health, doctors are as irrational as everyone else… Finish the story at KevinMD.
For the estimated 12 million cancer survivors in the U.S., some of life’s biggest challenges and successes begin after treatment ends. Here are your photos and insights about life after cancer. (Join the discussion here.)
Add your photo to the collage here.
and then I went to med school
